Certificate-of-need tracking and appeals report [Apr. 20, 2010]

Letters of Intent Expired Letters of Intent
New Applications

Pending Review/Incomplete Applications Pending Review/Complete Applications

DIVISION OF HEALTH PLANNING

Pending Review/Complete/Joined Applications

Recently Approved Applications

Recently Denied Applications

Applications Withdrawn Appealed CON Projects

CERTIFICATE OF NEED

Appealed Determinations
Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities
Requests for LNR for Diagnostic or Therapeutic Equipment

April 14, 2010 April 20, 2010

Requests for Miscellaneous Letters of Determination

Requests for Extended Implementation/Performance Period
Need Projection Analyses Non-Filed or Incomplete Surveys
Indigent-Charity Shortfalls Legislation Affecting CON Spring Batching Notifications

Georgia Department of Community Health Division of Health Planning 2 Peachtree Street 5th Floor Atlanta, Georgia 30303-3159
(404) 656-0655 (404) 656-0654 Fax www.dch.georgia.gov

New Batching Review Spring Cycle Winter Cycle
New CON Filing Requirements (effective July 1, 2008)
New Reporting Requirements (effective July 1, 2008)

Certificate of Need Appeal Panel New Procedure for Requesting Extensions
New! For Letters of Intent Annual Assessment of TCC Exemption
Home Health Rule Change Info

Letters of Intent New! For Letters of Intent

LOI2010018 AmMed Imaging Center

Establish An Imaging Center

Received: 3/31/2010

Application must be submitted on: 4/30/2010

Site: 34 Upper Riverdale Road, Suite 102, Riverdale, GA 30274 (Clayton County)

Estimated Cost: $0

LOI2010019 AmMed, Inc. d/b/a Open MRI Centers of Georgia

Establish An Imaging Center

Received: 3/31/2010

Application must be submitted on: 4/30/2010

Site: 6584 Professional Place Suite D, Riverdale, GA 30274 (Clayton County)

Estimated Cost: $0

Expired Letters of Intent

LOI2010015 Floyd Medical Center

New MRI Unit

Received: 2/25/2010

Application must be submitted on: 3/29/2010

Site: 304 Turner McCall Boulevard, Rome, GA 30162 (Floyd County)

Estimated Cost: $2,400,000

New Applications
none

Pending Review/Incomplete Applications
2010-002 Southwest Atlanta HealthCare System, LLC New Hospital Acute Care Filed: 2/18/2010 Deemed Incomplete: 3/4/2010 Site: 501 Fairburn Road, Atlanta, GA 30331 (Fulton County) Contact: Michael V. Smith, M.D. 404-880-7953 Estimated Cost: $12,075,637
2010-013 Open MRI & Imaging of DeKalb, LLC Replace MRI, CT Scanner and Relocate Facility Filed: 4/1/2010 Deemed Incomplete: 4/15/2010 Site: 2859 North Decatur Road, Decatur, GA 30033 (DeKalb County) Contact: Per B. Normark 678-992-7311 Estimated Cost: $2,854,653

Pending Review/Complete Applications
2009-099 Floyd Medical Center Construct New Space to House Existing Acute Care Beds Filed: 12/7/2009 Deemed Incomplete: 12/18/2009 Deemed Complete: 1/21/2010 60th Day Deadline: 3/21/2010 Decision Deadline: 5/20/2010 Site: 304 Turner McCall Boulevard, Rome, GA 30161 (Floyd County) Contact: Alison Land 706-509-3258 Estimated Cost: $9,161,637
2009-100 Shepherd Center Renovation of 2nd Floor; add a Chiller and a Generator
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Filed: 12/9/2009 Deemed Incomplete: 12/23/2009 Deemed Complete: 12/29/2009 60th Day Deadline: 2/26/2010 Decision Deadline: 4/27/2010 Site: 2020 Peachtree Road, Atlanta, GA 30309 (Fulton County) Contact: Gary R. Ulicny, President & CEO 404-350-7311 Estimated Cost: $5,671,252
2009-101 Gwinnett Medical Center
Replace Existing MRI Filed: 12/18/2009 Deemed Incomplete: 1/5/2010 Deemed Complete: 2/15/2010 60th Day Deadline: 4/15/2010 Decision Deadline: 6/14/2010 Site: 631 Professional Drive, Lawrenceville, GA 30046 (Gwinnett County) Contact: Mark M. Mullin, Director, Planning 678-312-4193 Estimated Cost: $4,796,291
2009-105 Emory Eastside Medical Center
Acquisition of Da Vinci Si Surgical System Filed: 12/30/2009 Deemed Incomplete: 1/14/2010 Deemed Complete: 2/16/2010 60th Day Deadline: 4/16/2010 Decision Deadline: 6/15/2010 Site: 1700 Medical Way, Snellville, GA 30078 (Gwinnett County) Contact: Dustin Greene, FACHE/ COO 770-736-2224 Estimated Cost: $1,953,210
2009-107 Cumming Diagnostic Imaging, LLC
Replace MRI and CT Scanner Filed: 1/13/2010 Deemed Complete: 1/27/2010 60th Day Deadline: 3/27/2010 Decision Deadline: 5/26/2010 Site: 100 Mountainview Drive, Suite 200, Cumming, GA 30040 (Forsyth County) Contact: Per B. Normark 678-992-7311 Estimated Cost: $2,574,885
2009-108 East Georgia Regional Medical Center, LLC
Acquisition of da Vinci S Robotic Surgical System Filed: 1/14/2010 Deemed Incomplete: 1/29/2010 Deemed Complete: 3/18/2010 60th Day Deadline: 5/16/2010 Decision Deadline: 7/15/2010 Site: 1499 Fair Road, Statesboro, GA 30458 (Bulloch County) Contact: Spencer Thomas 912-486-1500 Estimated Cost: $2,166,269
2009-109 Smith Northview Hospital
da Vinci Robotic Surgical System Filed: 1/21/2010 Deemed Incomplete: 2/3/2010 Deemed Complete: 3/4/2010 60th Day Deadline: 5/2/2010 Decision Deadline: 7/1/2010 Site: 4280 N. Valdosta Road, Valdosta, GA 31602 (Lowndes County) Contact: James L. Matney 229-671-2002 Estimated Cost: $1,750,000
2009-110 Open MRI of Georgia, Inc.
Replace an Existing MRI Filed: 1/22/2010 Deemed Incomplete: 2/5/2010 Deemed Complete: 2/24/2010 60th Day Deadline: 4/24/2010 Decision Deadline: 6/23/2010 Site: 600 Professional Drive, Suite 100, Lawrenceville, GA 30045 (Gwinnett County) Contact: Per Normark 678-992-7311 Estimated Cost: $2,223,013
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2009-111 WellStar Community Hospice at Kennesaw Mountain
Develop an Inpatient Hospice Home Filed: 1/28/2010 Deemed Complete: 2/11/2010 60th Day Deadline: 4/11/2010 Decision Deadline: 6/10/2010 Site: 475 Dickson Avenue, Marietta, GA 30064 (Cobb County) Contact: Caroline Aultman 770-792-1542 Estimated Cost: $12,921,178
2009-112 Marquis Diagnostic Imaging of Georgia, LLC
Develop a Freestanding, Multi-Modality Imaging Center Filed: 1/27/2010 Deemed Complete: 2/10/2010 60th Day Deadline: 4/10/2010 Decision Deadline: 6/9/2010 Site: 1150 Hammond Drive, Building E, Atlanta, GA 30328 (Fulton County) Contact: John K. Luke, CEO 678-893-8101 Estimated Cost: $5,727,570
2009-113 Marquis Diagnostic Imaging of Georgia, LLC
Develop a Freestanding, Multi-Modality Imaging Center Filed: 1/27/2010 Deemed Complete: 2/10/2010 60th Day Deadline: 4/10/2010 Decision Deadline: 6/9/2010 Site: 771 Old Norcross Road, Lawrenceville, GA 30046 (Gwinnett County) Contact: John K. Luke, CEO 678-893-8101 Estimated Cost: $5,673,935
2010-001 Effingham Hospital
Construction of 2-Story Clinical Services Building Joined to Hospital Filed: 2/4/2010 Deemed Complete: 2/17/2010 60th Day Deadline: 4/17/2010 Decision Deadline: 6/16/2010 Site: 459 Hwy 119 South, Springfield, GA 31329 (Effingham County) Contact: Norma Jean Morgan, CEO 912-754-0160 Estimated Cost: $29,099,449
2010-003 Southern Regional Health System, Inc.
Adult Open Heart (BATCHING) Filed: 2/20/2010 Deemed Complete: 2/20/2010 60th Day Deadline: 4/20/2010 Decision Deadline: 6/19/2010 Site: 11 Upper Riverdale Road, SW, Riverdale, GA 30274 (Clayton County) Contact: Michael Miller, Managing Director of Planning 770-991-8141 Estimated Cost: $2,852,305
2010-006 Cancer Center of Gwinnett (Georgia Center for Total Cancer Care at Gwinnett
Non-Special Mega Voltage (BATCHING) Filed: 2/20/2010 Deemed Complete: 2/20/2010 60th Day Deadline: 4/20/2010 Decision Deadline: 6/19/2010 Site: 698 Duluth Highway, Lawrenceville, GA 30045 (Gwinnett County) Contact: Dale L. McCord, MD 770-350-0126 Estimated Cost: $5,384,933
2010-007 Coliseum Medical Centers
Mobile PET/CT (BATCHING) Filed: 2/20/2010 Deemed Complete: 2/20/2010 60th Day Deadline: 4/20/2010 Decision Deadline: 6/19/2010
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Site: 350 Hospital Drive, Macon, GA 31217 (Bibb County) Contact: David A. Portwood / COO 478-765-4100 Estimated Cost: $29,860
2010-008 Gordon Hospital Mobile PET/CT Scanner (BATCHING) Filed: 2/20/2010 Deemed Complete: 2/20/2010 60th Day Deadline: 4/20/2010 Decision Deadline: 6/19/2010 Site: 1035 Red Bud Road, Calhoun, GA 30701 (Gordon County) Contact: Sam Huenergardt 706-602-7800 Estimated Cost: $14,000
2010-009 WellStar Cobb Hospital Mobile PET/CT Scanner (BATCHING) Filed: 2/20/2010 Deemed Complete: 2/20/2010 60th Day Deadline: 4/20/2010 Decision Deadline: 6/19/2010 Site: 3950 Austell Road, Austell, GA 30106 (Cobb County) Contact: Caroline Aultman 678-331-6885 Estimated Cost: $5,000
2010-010 RiverWoods Behavioral Health System Add 20 Adult Acute Care Psychiatric/Substance Abuse Beds (BATCHING) Filed: 2/20/2010 Deemed Complete: 2/20/2010 60th Day Deadline: 4/20/2010 Decision Deadline: 6/19/2010 Site: 223 Medical Center Drive, Riverdale, GA 30274 (Clayton County) Contact: R. Kirk Kureska, CEO 770-991-8500 Estimated Cost: $339,000
2010-011 Tanner Medical Center - Carrollton Renovation, Expansion, and Central Energy Plant Upgrade Filed: 3/12/2010 Deemed Complete: 3/26/2010 60th Day Deadline: 5/24/2010 Decision Deadline: 7/23/2010 Site: 705 Dixie Street, Carrollton, GA 30117 (Carroll County) Contact: Jeff Jennings, Senior Vice President 770-836-9195 Estimated Cost: $62,665,716
2010-012 Memorial Health University Medical Center DaVinci Si Surgical System Filed: 3/24/2010 Deemed Complete: 4/7/2010 60th Day Deadline: 6/5/2010 Decision Deadline: 8/4/2010 Site: 4700 Waters Avenue, Savannah, GA 31404 (Chatham County) Contact: John D. Angstadt 912-350-8386 Estimated Cost: $1,771,950
2010-014 SouthCoast Imaging Center Replace MRI System Filed: 4/2/2010 Deemed Complete: 4/16/2010 60th Day Deadline: 6/14/2010 Decision Deadline: 8/13/2010 Site: 1326 B Eisenhower Drive, Savannah, GA 31406 (Chatham County) Contact: Patricia Shapiro, MD Medical Director 912-691-4210 Estimated Cost: $1,916,621
Pending Review/Complete/Joined Applications
2010-004 Candler Hospital dba Lewis Cancer & Research Pavilion
5

New CyberKnife Unit (BATCHING) Joined (005) Filed: 2/20/2010 Deemed Complete: 2/20/2010 Joined: 2/20/2010 60th Day Deadline: 4/20/2010 Decision Deadline: 6/19/2010 Site: 225 Candler Drive, Savannah, GA 31405 (Chatham County) Contact: John Salandi 912-819-2498 Estimated Cost: $6,263,060
2010-005 Southeast Georgia Health System Acquisition of a CyberKnife (BATCHING) Joined (004) Filed: 2/20/2010 Deemed Complete: 2/20/2010 Joined: 2/20/2010 60th Day Deadline: 4/20/2010 Decision Deadline: 6/19/2010 Site: 2415 Parkwood Drive, Brunswick, GA 31520 (Glynn County) Contact: Carlton A. DeVooght 912-466-3391 Estimated Cost: $4,787,028
Recently Approved Applications
2009-077 DeKalb Medical at North Decatur Computerized Tomography (CT) Scanner Filed: 10/9/2009 Deemed Incomplete: 10/26/2009 Deemed Complete: 12/3/2009 60th Day Deadline: 1/31/2010 Decision Deadline: 4/1/2010 APPROVED: 4/1/2010 Site: 2701 North Decatur Road, Decatur, GA 30033 (DeKalb County) Contact: Donald G. Fears, Director of Regulatory & Facility 404-501-5790 Estimated Cost: $2,101,073
2009-079 St. Francis Hospital, Inc. Renovate and Expand by adding a Clinical Tower Filed: 10/22/2009 Deemed Incomplete: 11/5/2009 Deemed Complete: 12/1/2009 60th Day Deadline: 1/29/2010 Decision Deadline: 3/30/2010 APPROVED: 3/30/2010 Site: 2122 Manchester Expressway, Columbus, GA 31908 (Muscogee County) Contact: Michele Madison 404-504-7621 Estimated Cost: $90,750,000
2009-083 South Georgia Medical Center To develop a multi-modality outpatient imaging center Filed: 11/6/2009 Deemed Complete: 11/23/2009 60th Day Deadline: 1/21/2010 Decision Deadline: 3/22/2010 APPROVED: 3/22/2010 Site: 2501 North Patterson Street, Valdosta, GA 31602 (Lowndes County) Contact: William E. Forbes, Chief Planning Officer 229-259-4175 Estimated Cost: $10,668,191
2009-084 Rockdale Medical Center Acquire a da Vinci Robotic Surgical System Filed: 11/12/2009 Deemed Complete: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 APPROVED: 3/23/2010 Site: 1412 Milstead Avenue, Conyers, GA 30012 (Rockdale County) Contact: Deborah Armstrong, COO/Vice President 770-918-3877 Estimated Cost: $2,760,000
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2009-085 Grady Memorial Hospital
Installation of a Bi-Plane Angiography Unit Filed: 11/12/2009 Deemed Complete: 11/30/2009 60th Day Deadline: 1/28/2010 Decision Deadline: 3/29/2010 APPROVED: 3/29/2010 Site: 80 Jesse Hill Drive, SE, Atlanta, GA 30303 (Fulton County) Contact: Craig J. Tindall, Senior VP 404-616-5141 Estimated Cost: $2,498,893
2009-086 Piedmont Hospital
Acquisition of Da Vinci Si Robotics Surgery System Filed: 11/13/2009 Deemed Complete: 12/1/2009 60th Day Deadline: 1/29/2010 Decision Deadline: 3/30/2010 APPROVED: 3/30/2010 Site: 1968 Peachtree Road, NW, Atlanta, GA 30309 (Fulton County) Contact: Davis Dunbar, Manager, Regulatory Affairs 404-605-4565 Estimated Cost: $2,970,000
2009-087 The Medical Center of Central Georgia, Inc. - 4th Floor West
Convert 4 Main step-down cardiac surgical unit to a (14) bed Medical/Surgical ICU Filed: 11/18/2009 Deemed Complete: 12/2/2009 60th Day Deadline: 1/30/2010 Decision Deadline: 3/31/2010 APPROVED: 3/26/2010 Site: 777 Hemlock Street, Macon, GA 31201 (Bibb County) Contact: H. Bryan Forlines, Reimbursement Director 478-633-6966 Estimated Cost: $10,699,689
2009-088 Satilla Regional Medical Center
Patient Wing Expansion Filed: 11/20/2009 Deemed Complete: 12/8/2009 60th Day Deadline: 2/5/2010 Decision Deadline: 4/6/2010 APPROVED: 4/6/2010 Site: 410 Darling Avenue, Waycross, GA 31501 (Ware County) Contact: Windell R. Smith, Chief Operating Officer 912-287-2500 Estimated Cost: $6,500,000
2009-094 St. Francis Hospital
Establish Basic Perinatal Service - BATCHING Filed: 11/24/2009 Deemed Complete: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 APPROVED: 3/23/2010 Site: 2122 Manchester Expressway, Columbus, GA 31908 (Muscogee County) Contact: Matthew A. Moore 706-596-4160 Estimated Cost: $8,250,000
2009-095 South Fulton Medical Center (SFMC)
Establish 4 Bed Level III NICU - BATCHING Filed: 11/24/2009 Deemed Complete: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 APPROVED: 3/23/2010 Site: 1170 Cleveland Avenue, East Point, GA 30344 (Fulton County) Contact: Robert Russell, COO 404-466-1122 Estimated Cost: $239,220
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Recently Denied Applications

2009-091 Plastikos Surgical Center
Establish Multi-Specialty ASC - BATCHING Joined (2009-093) Filed: 11/24/2009 Deemed Complete: 11/24/2009 Joined: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 DENIED: 3/23/2010 Site: 4370 Georgetown Square, Atlanta, GA 30338 (DeKalb County) Contact: Karen L. Vaughn, RN, Practice Administrator 770-457-4677 Estimated Cost: $88,295

Applications Withdrawn

2009-089 Newton Ambulatory Surgical Center
Conversion to Single Specialty ASC - BATCHING Filed: 11/24/2009 Deemed Complete: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 WITHDRAWN: 3/22/2010 Site: 5303-D Adams Street, Covington, GA 30014 (Newton County) Contact: Crystal Blackwell 770-929-9033 Estimated Cost: $50,357

2009-090 West Paces Ambulatory Surgical Center
Conversion to Single Specialty ASC - BATCHING Filed: 11/24/2009 Deemed Complete: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 WITHDRAWN: 3/22/2010 Site: 3161 Howell Mill Road, Suite 320, Atlanta, GA 30327 (Fulton County) Contact: Crystal Blackwell 770-929-9033 Estimated Cost: $1,000

2009-092 Associates Surgery Center, Inc.

Conversion to Single Specialty ASC - BATCHING

Filed: 11/24/2009 Deemed Complete: 11/24/2009

60th Day Deadline: 1/22/2010

Decision Deadline: 3/23/2010

WITHDRAWN: 3/22/2010

Site: 864 First Street, Macon, GA 31201 (Bibb County)

Contact: Marvin A. Noles 478-414-1234

Estimated Cost:

$1,000

2009-093 Northside Alpharetta Ambulatory Surgery Center
Establish Multi-Specialty ASC - BATCHING Joined (2009-091) Filed: 11/24/2009 Deemed Complete: 11/24/2009 Joined: 11/24/2009 60th Day Deadline: 1/22/2010 Decision Deadline: 3/23/2010 WITHDRAWN: 3/22/2010 Site: 3400-A Old Milton Parkway, Alpharetta, GA 30005 (Fulton County) Contact: Brian J. Toporek 404-851-6821 Estimated Cost: $4,300,391

Appealed CON Projects

2006-140 Northeast Georgia Medical Center (Hall) Replacement Hospital Facility
8

Agency Decision: Approved, 4/27/2007 Appealed By: Barrow Regional Medical Center, 5/25/2007. Melvin Goldstein was appointed as Hearing Officer on 7/6/2007. Hearing Officer: Melvin Goldstein, Esq. Hearing Date: 9/18-19/2007, 9 a.m. Motion for Summary Determination filed 9/7/2007. Hearing Decision: Hearing Officer affirmed Department approval of CON by Order dated 12/20/2007. Barrow appealed Hearing Officer Decision to Review Board, 1/18/2008. Review Board Decision: Review Board Meeting set for 2/18/2008 at 11a.m. Review Board issued Order affirming Hearing Officer decision, 2/22/2008. Appealed to Superior Court: Barrow filed Petition for Judicial Review in Superior Court of Barrow County, 3/21/2008. Superior Court Decision: Reversed by Superior Court of Barrow County, 12/15/2008. Court of Appeals: Department and NEGA requested appeal of Superior Court Order to Georgia Court of Appeals; Barrow opposed request; Court of Appeals agreed to hear appeal of Superior Court Order, 1/30/2009. Appeals Court Decision: Reversed Superior Court Decision, 3/23/2010. Barrow filed petition for Writ of Certiorari to Georgia Supreme Court, 4/9/2010.
2008-042 MCG Medical Associates Ambulatory Care Center (Columbia) Proposed New ASC with CT Agency Decision: Approved, 9/19/2008 Appealed By: University Health Services, Inc., 10/20/2008; Doctors Hospital Surgery Center, L.P. d/b/a Evans Surgery Center, 10/15/2008 Hearing Officer: William C. Joy, Esq. Hearing Date: January 26, 27, 28, 2009, 5th Floor Hearing Decision: Hearing Officer reversed award of CON to MCG, 4/7/2009: The applicant requested Commissioner Review of Hearing Officer's decision, 5/5/2009; the Department requested Commissioner Review of Hearing Officer's decision, 5/7/2009. Commissioner Review Decision: due 6/8/2009; Per Final Order Hearing Officer is reversed and the original decision of the Department to award a CON to Physicians Practice Group is reinstated, 4/7/2009. Appealed to Superior Court: University Health Services and Evans filed Petion for Judicial Review, Richmond County Superior Court, 7/8/2009. Superior Court Decision: Richmond County Superior Court denied University & Evans petition for judicial review and affirmed Final Order, 9/30/2009. Appealed to Appeals Court: University and Evans filed application for discretionary appeal to GA Court of Appeals, 10/30/2009. Appeals Court Decision: Application for discretionary appeal denied, 11/23/2009. University and Evans filed petition for writ of certiorari to Georgia Supreme Court, 12/14/2009. Georgia Supreme Court denied Petition for Certiorari, 3/29/2010.
2008-068 Vidalia Regional Cancer Center (Toombs) Develop a MegaVoltage Radiation Therapy Service Agency Decision: Approved, 11/25/2008 Appealed By: Statesboro Oncology Associates, P.C, 12/23/2008 and Satilla Regional Cancer Center, 12/23/2008. Hearing Officer: Ellwood F. Oakley, III, Esq. Hearing Date: May 19, 2009, 5th Floor, 9:00AM Hearing Decision: Hearing Officer affirmed award of CON to Vidalia, 8/10/2009; Satilla Regional Cancer Treatment Center and South Georgia Center for Cancer Care requested Commissioner Review of Hearing Officer's Decision, 09/09/09. Commissioner Review Decision: Affirmed Hearing Officer Decision, 10/08/2009. Appealed to Superior Court: South Georgia Center for Cancer Care filed petition for judicial review to Superior Court of Bulloch County, 11/6/2009. Satilla filed Petition for Judicial Review in Fulton County Superior Court, November 6, 2009. Fulton County Superior Court Decision affirms award of CON to Vidalia, 3/2/2010. Bulloch County Superior Court Decision affirms award of CON to Vidalia, 3/22/2010.
2008-081 Palmyra Medical Center (Dougherty) Develop Basic Perinatal Services Agency Decision: Approved, 1/9/2009 Appealed By: Phoebe Putney Memorial Hospital, 2/6/2009 and Phoebe Sumter Medical Center, 2/6/2009 Hearing Officer: Ellwood Oakley, III, Esq. Hearing Date: July 13, 2009, 12:00PM, 34th Floor
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Hearing Decision: Hearing Officer affirmed award of CON to Palmyra, 10/18/2009; Phoebe Putney and Sumter Regional request Commissioner Review, 11/17/2009. Commissioner Review Decision: due 12/20/2009. Affirmed Hearing Officer Decision to award CON to Palmyra, 12/18/2009; Phoebe Putney Memorial Hospital filed Petition for Judicial Review in Dougherty County Superior Court, 1/19/2010; Phoebe Sumter Medical Center filed Petition for Judicial Review in Sumter County Superior Court, 1/19/2010.
2008-106 Peoples Home Health (Hall) 2008-107 Interim Home Healthcare Georgia (Hall) 2008-115 Voyager Home Health (Banks) 2008-116 Suncrest Home Health (Banks) 2008-119 Georgia Home Health Care (White)
Establish New HH Care Agency SSDR 2 Agency Decision: 2008-106 denied 3/24/2009; 2008-107 approved 3/24/2009; 2008-115 denied
3/24/2009; 2008-116 denied 3/24/2009; 2008-119 denied 3/24/2009. Appealed By: Suncrest Home Health appealed its denial and approval of Interim, 4/23/2009. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: September 10, 2009, 9:00AM to September 11, 2009 4:30PM, 34th Floor Large Conference Room; Motion Hearing held 9/15/2009. Hearing Decision: Remanded to Department 11/13/2009; Remand decision issued 12/10/2009 affirming award of CON to Interim and affirming denial to Suncrest. Hearing Officer reversed award of CON to Interim and awarded CON to Suncrest, 2/22/2010. The Department requested Commissioner Review of Hearing Officer's decision, 3/23/2010. Interim requested Review of Hearing Officer's decision, 03/24/2010.
2009-044 Ty Cobb Regional Medical Center, LLC (Franklin) New Hospital Agency Decision: Approved, 11/20/2009 Appealed By: Stephens County Hospital Authority d/b/a Stephens County Hospital, 12/17/2009. Hearing Officer: William C. Joy, Esq. Hearing Date: March 10-12, 2010, 5th Floor Overflow Room
2009-054 Adventist Health System of Georgia d/b/a Gordon Hospital (Gordon) 2009-056 ROSA of Georgia, LLC d/b/a Georgia Center for Total Cancer Care of Jasper (Pickens) 2009-073 Physician Oncology Services, LP d/b/a Gilmer County Comprehensive Cancer Treatment Center (Gilmer) A New Non-Special Mega Voltage Radiation Therapy Service SSDR 1 Agency Decision: 12/18/2009: Approved 2009-054; Denied 2009-056; Denied 2009-073. Appealed By: ROSA of Georgia, LLC, appeals approval of 2009-054, appeals own denial, and requests intervention, 1/14/2010; Physician Oncology Services, LP, appeals approval of 2009-054, appeals own denial, and requests intervention, 1/19/2010. Cartersville Medical Center, LLC, appeals approval of 2009-054, 1/15/2010. Hearing Officer: Melvin M. Goldstein, Esq. Hearing Date: May 10 -14, 2010
Appealed Determinations
DET2009062 Augusta Hospital, LLC d/b/a Trinity Hospital of Augusta Therapeutic Cardiac Catheterization Statutory Exemption Request received: 5/15/2009 Contact Person: Robyn Stowell 706-481-7678 Determination: Non-reviewable as proposed Determination Date: 7/15/2009 Opposition: University Health Services, Inc.- 6/15/2009; MCG Health, Inc.- 6/15/2009, Request for Hearing filed by University Health Services, 8/12/2009. Hearing: 10/23/2009, 9AM 10/26/2009, 5PM, 34th Floor Conference Room; Cliff Weiss, Esq., Hearing Officer. Hearing Officer reversed award of Determination to Trinity, 12/18/2009. Request for Agency Review by Trinity, 12/30/2009. Agency Review Decision reversed Hearing Officer and reinstated approval, 2/17/2010. University Health Services filed Petition for Judicial Review to Superior Court of Fulton County, 3/17/2010.
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Requests for LNR for Diagnostic or Therapeutic Equipment
LNR-EQT2009024 MedCross Imaging, P.C. Purchase a Mobile MRI Request received: 8/24/2009 Contact Person: Norman King 478-374-4305 Determination: Pending

LNR-EQT2010002 Liberty Regional Medical Center

Fixed Digital Mammography

Request received: 1/27/2010

Contact Person: Scott Kroell 912-369-9441

Determination: Approved

Determination Date: 4/5/2010

LNR-EQT2010003 Liberty Regional Medical Center

Fixed R/F Room

Request received: 1/27/2010

Contact Person: Scott Kroell 912-369-9441

Determination: Approved

Determination Date: 4/9/2010

LNR-EQT2010004 Piedmont Hospital, Inc. Fixed MRI Request received: 2/2/2010 Contact Person: Davis Dunbar 404-605-4565 Determination: Pending

LNR-EQT2010005 George S. Stefanis, M.D., P.C Fixed MRI Request received: 2/4/2010 Contact Person: Leslie Broxton 478-741-3690 Determination: Pending

LNR-EQT2010006 VMW Properties, LLC Fixed CT Scanner Request received: 3/1/2010 Contact Person: Determination: Pending

LNR-EQT2010007 North American Imaging of Buford, LLC Fixed MRI Scanner and Injector Request received: 3/2/2010 Contact Person: Joe C. Rude III M.D. 770-779-0000 Determination: Pending

LNR-EQT2010008 Emory University Hospital Midtown Hybrid CT/Nuclear Camera Request received: 3/15/2010 Contact Person: Toni Wimby 404-686-2809 Determination: Pending

LNR-EQT2010009 West Georgia Medical Center, Inc. Fixed CT Scanner Request received: 3/22/2010 Contact Person: Carol Todd 706-845-3703 Determination: Pending

LNR-EQT2010010 Emory University dba Emory University Hospital Fixed Spect Gamma Camera Request received: 2/17/2010 Contact Person: Toni Wimby 404-686-2809 Determination: Pending

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LNR-EQT2010011 Wesley Woods Center of Emory University, Inc. dba Wesley Woods Fixed CT Scanner Request received: 3/29/2010 Contact Person: Toni Wimby 404-686-2809 Determination: Pending
LNR-EQT2010012 Cardiovascular Group, P.C. Physician-Owned Cardiac PET Request received: 3/30/2010 Contact Person: David Donnelly 678-252-3733 Determination: Pending
LNR-EQT2010013 ALARA Imaging, LLC Mobile CT Scanner Request received: 4/1/2010 Contact Person: Latonya Greene 404-214-5012 Determination: Pending
LNR-EQT2010014 Piedmont Hospital, Inc. Electrophysiology Equipment Request received: 4/7/2010 Contact Person: Determination: Pending
LNR-EQT2010015 Peachtree MRI, LLC Mobile MRI Request received: 4/14/2010 Contact Person: Syed I, Niazi 770-822-6174 Determination: Pending
LNR-EQT2010016 Liberty Regional Medical Center Replacement of Fixed CT Scanner Request received: 4/14/2010 Contact Person: Scott Kroell 912-369-9441 Determination: Pending

Requests for LNR for Establishment of Physician-Owned Ambulatory Surgery Facilities

LNR-ASC2010001 Georgia Spine Surgery Center, LLC

Single Specialty Surgery Center

Site: 1061 Dowdy Road, Athens, Georgia 30306

Number of OR's: 2

Specialty: Neurological

Project costs as submitted: $2,848,439.41

Request received: 1/21/2010

Contact Person: Victor Moldovan 404-443-5500

Determination: Approved

Determination

4/12/2010

LNR-ASC2010002 Athens Endoscope, LLC

Physician-Owned, Single Specialty Ambulatory Surgery Center

Site: 21 Jefferson Place, Suite 2, Athens, GA 30601

Number of OR's:

Specialty: Gastroenterology

Project costs as submitted: $803,784.94

Request received: 1/29/2010

Contact Person: Brynne Goncher 404-233-7000

Determination: Approved

Determination

3/24/2010

LNR-ASC2010003 Georgia Urology ASC

Establishment of a Physician Owned Single-Specialty ASC

Site: 790 Church Street Extension, Suite 430, Marietta, GA 30078

Number of OR's:

Specialty: Urology

12

Project costs as submitted: $655,000.00 Request received: 2/17/2010 Contact Person: Jason Shelnutt 404-275-2221 Determination: Pending

LNR-ASC2010004 NASA Surgery Center, L.L.C .

Satellite Office and Ambulatory Surgery Facility

Site: 1100 Johnson Ferry Road, Suite 180, Atlanta, GA 30342

Number of OR's: 2

Specialty: Single Specialty General Surgery

Project costs as submitted: $1,806,099.77

Request received: 2/25/2010

Contact Person: Josh Belinfante 678-701-9381

Determination: Pending

LNR-ASC2010005 Georgia Neurosurgical Institute Outpatient Surgery Center

Physician-Owned, Single Specialty ASC

Site: 840 Pine Street, Macon, Georgia 31201

Number of OR's: 2

Specialty: Neurosurgery

Project costs as submitted: $1,519,265.71

Request received: 3/18/2010

Contact Person: Brynne R. Goncher 404-504-7658

Determination: Pending

LNR-ASC2010006 Dublin Endoscopy Center

Physician-Owned, Single Specialty ASC

Site: 111 Fairview Park Drive, Dublin, GA 31021

Number of OR's:

Specialty: Gastroenterology

Project costs as submitted: $770,090.97

Request received: 3/24/2010

Contact Person: Gayle Evans 770-794-4944

Determination: Pending

LNR-ASC2010007 Renue Surgery Center of Waycross, LLC

Development and completion of the new ASC and Practice

Site: 1905 Tebeau Street, Waycross, GA 31501

Number of OR's:

Specialty: LNR-ASC

Project costs as submitted: $2,228,803.07

Request received: 4/9/2010

Contact Person: Elizabeth Turk 912-280-9977

Determination: Pending

Requests for Miscellaneous Letters of Determination
DET2008112 Southeast Georgia Health System Renovation of Nursing Home Request received: 12/9/2008 Contact Person: Marjorie Mathieu 912-466-7055 Determination: Pending
DET2009143 Chulio Assisted Living, LLC Change of Governing Body Request received: 11/5/2009 Contact Person: Determination: Pending

DET2010003 Aniikumar V. Pillai Conversion of an Existing Hotel to a Personal Care Home Request received: 1/12/2010 Contact Person: Anilkumar V. Pillai 478-256-4171 Determination: Pending

13

DET2010006 Athens Orthopedic Clinic Ambulatory Surgical Center, LLC Renovation and Expansion of LNR-Granted ASC Request received: 1/19/2010 Contact Person: Kayo Elliott 706-549-1663 Determination: Pending

DET2010007 Georgia Neurological Services Determination about Physiatrist Joining Practice Request received: 1/21/2010 Contact Person: Brandt Halbach 706-548-0284 Determination: Non-reviewable as proposed Determination Date: 4/2/2010

DET2010008 Hamilton Medical Center Fixed PET/CT Request received: 1/25/2010 Contact Person: Corey Roy 706-272-6529 Determination: Non-reviewable as proposed

Determination Date: 4/2/2010

DET2010009 Northside Hospital dba Northside - Roswell Cancer Center Replacement of Authorized Linear Accelerator Request received: 1/29/2010 Contact Person: Brian Toporek 404-851-6821 Determination: Non-reviewable as proposed Determination Date: 4/12/2010

DET2010010 Alliance Healthcare Services dba Alliance Imaging Mobile PET/CT Services to CON Approved Provider Request received: 2/1/2010 Contact Person: Cindy Smith 678-873-1364 Determination: Non-reviewable as proposed Determination Date: 4/13/2010

DET2010011 Harpers Personal Care Home, Inc. Increase Beds from 24 to 32 Request received: 2/3/2010 Contact Person: Carolyn Harper 706-678-6070 Determination: Pending

DET2010012 Atlanta Association for Convalescent Aged Persons, Inc. Relocation of Nursing Facility Request received: 2/9/2010 Contact Person: Charles Robinson, Jr. 404-794-2477 Determination: Pending

DET2010013 Rockdale Hospital, LLC dba Rockdale Medical Center Renovation of Hospital Space Request received: 2/9/2010 Contact Person: Deborah Armstrong 770-918-3877 Determination: Pending

DET2010014 Stockbridge Senior Living Partners, LLC dba Benton Manor of Stockbridge Conversion of Independent Living to Personal Care Home Request received: 2/11/2010 Contact Person: David Winters 678-297-0388 Determination: Pending
DET2010015 Pain Care Center of Georgia, LLC Applicability of Administrative Rule 111-2-1-.01(49) Request received: 2/12/2010 Contact Person: Lindsey Mathes, RN 770-771-6580 Determination: Pending
DET2010016 Northside Hospital, Inc. dba Northside Hospital A Second Adult Diagnostic Cardiac Catheterization Laboratory Request received: 2/16/2010

14

Contact Person: Brian Toporek 404-851-6283 Determination: Pending
DET2010018 North Atlanta Scan Associates, Inc. Replacement of non-reviewable MR System at Alpharetta Location Request received: 2/22/2010 Contact Person: Determination: Pending
DET2010019 Saint Joseph's Hospital of Atlanta, Inc. Renovation/Replacement of Cardiac Catheterization Laboratory Equipment Request received: 2/22/2010 Contact Person: Determination: Pending
DET2010020 Gwinnett Medical Center - Duluth Addition of an Inpatient Operating Room within Main OR Suite Request received: 2/23/2010 Contact Person: Mark M. Mullin 678-312-4193 Determination: Pending
DET2010021 Regent LSG, LLC Non-Medical Personal Care Home Request received: 2/24/2010 Contact Person: John C. Brandt 612-805-6462 Determination: Pending
DET2010022 Gwinnett Medical Center Renovation for Pediatrics and Physician Support Request received: 3/2/2010 Contact Person: Mark Mullin 678-312-4193 Determination: Pending
DET2010023 Perfect Care, Inc. CCRC Sheltered Nursing Home Bed Service Phase-in Request received: 3/2/2010 Contact Person: Julie G. Harry 229-928-5616 Determination: Non-reviewable as proposed Determination Date: 4/8/2010
DET2010024 West Georgia Medical Center, Inc. Replacement of CT Simulator Request received: 3/22/2010 Contact Person: Carol Todd 706-845-3703 Determination: Pending
DET2010025 Piedmont Hospital, Inc. Utilize Cardiac Cath Rm for Diagnostic & Therapeutic Catheterizations Request received: 3/22/2010 Contact Person: Davis Dunbar 404-605-4565 Determination: Pending
DET2010026 Emory University dba Emory University Hospital Change in Magnet Strength and Location of MRI Request received: 3/29/2010 Contact Person: Toni Wimby 404-686-2450 Determination: Pending
DET2010027 Emory University dba Emory University Replacement of CT Scanner Request received: 3/29/2010 Contact Person: Toni Wimby 404-686-2809 Determination: Pending
15

DET2010028 South Georgia Medical Center SGMC Parking Garage Request received: 3/30/2010 Contact Person: William E. Forbes 229-259-4175 Determination: Pending
DET2010029 Emory University d/b/a Emory University Hospital Midtown Addition of a Cesarean Section Room in Labor and Delivery Request received: 4/5/2010 Contact Person: Jeffrey Baxter, Esq. 404-817-6247 Determination: Pending
DET2010030 Atlanta Medical Center Replace 15-year old MRI System Request received: 4/7/2010 Contact Person: Determination: Pending
DET2010031 Memorial Health University Medical Center, Inc. Temporary Modification of Existing CON, GA 2007-062 for a Fixed PET Request received: 4/16/2010 Contact Person: Connie Burke, RT 912-350-7163 Determination: Pending

Requests for Extended Implementation/Effective Period

2008138 South Georgia Medical Center

Acquisition of a PET/CT Scanner

Request to extend effective period

Site: 2501 North Patterson Street, Valdosta, GA (Lowndes)

Project Approved: 5/20/2009

Request Received: 03/26/2010

Contact: Bill Forbes, Chief Planning Officer (229) 259-4175

Approved Cost: $4,472,532

Determination: Approved, 3/29/2010

Extended Completion Date: 5/20/2011

2007008 Peach County Hospital Authority d/b/a Peach Regional Medical Center

Construction of a Replacement Facility

Request to extend implementation period

Site: 601 Bluebird Boulevard, Fort Valley, GA (Peach)

Project Approved: 5/30/2007

Request Received: 03/29/2010

Contact: Nancy Heiden Peed, CEO (478) 825-8691

Approved Cost: $25,251,813

Determination: Approved, 3/29/2010

Extended Implementation Date: 2/28/2011

2003126 Kennestone Hospital

New Patient Care Tower/Addition of 140 Acute Care Beds

Request to extend effective period

Site: 677 Church Street, Marietta, GA (Cobb)

Project Approved: 3/19/2004

Request Received: 04/2/2010

Contact: Caroline Aultman, Dir. Strategic Planning (678) 331-6885

Approved Cost: $93,460,120

Determination: Approved, 4/9/2010

Extended Completion Date: 3/19/2011

2007023 Senior Health of Georgia, Inc. d/b/a Summit Hospital Construction of a 50-Bed Adult and Geriatric Psychiatric Hospital Request to extend implementation period Site: 1775 East Highway 34, Newnan, GA (Coweta) Project Approved: 7/25/2007
16

Request Received: 04/16/2010 Contact: Jennifer Malinovsky, Attorney (404) 322-6136 Approved Cost: $10,865,767 Determination: Pending

Need Projection Analyses Updated 4/6/2010
Current Status of Official Division of Health Planning Need Projection Analyses and Other Data Resources Need Projections and Maps for CON Regulated Services

2014 Non-Special MegaVoltage Radiation Therapy - 12/22/2009 2014 Positron Emission Tomography Services - 12/22/2009 2014 Ambulatory Surgery Center Services - 3/22/2010 2012 Home Health Agency Services - 3/22/2010 2014 Inpatient Physical Rehabilitation Services - 3/22/2010 2014 Neonatal Intensive Care Beds - 3/22/2010 2014 Neonatal Intermediate Care Beds - 3/22/2010 2014 Obstetric Services Beds - 3/22/2010 2012 Skilled Nursing Home Beds - 3/22/2010 Non-Batched Need Projections 2015 Cardiac Catheterization Labs - Updated 4/6/2010 2015 Long Term Care Hospital Beds - 4/1/2010 2014 Short Stay Hospital Beds Facility-specific projections on an ad hoc basis using 2006 utilization

Non-Filed or Incomplete Division of Health Planning
Facility Surveys for Most Recent 3 Years (Survey Status as of April 20, 2010)
Survey Completion Status - Survey completion status represents the status of survey filings as of the effective date indicated in each version of the Tracking Report. Surveys filed on the effective date may not be reflected as complete and may be reported as delinquent. Please contact the staff contact indicated in the instruction materials associated with each survey if your facility has filed its survey but continues to be reflected as incomplete.

Facility Name
Anchor Hospital Athens Regional Medical Center Calhoun Memorial Hospital Central State Hospital - Psychiatric Services Division East Georgia Regional Medical Center Georgia Regional Hospital @ Savannah Georgia Regional Hospital @ Savannah Georgia Regional Hospital at Savannah Grady Memorial Hospital

County
Clayton Clarke Calhoun Baldwin Bulloch Chatham Chatham Chatham Fulton
17

Survey Year
2009 2009 2009 2009 2009 2007 2008 2009 2009

Survey Due
3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/13/2009 9/18/2009 3/12/2010 3/12/2010

Kindred Hospital-Atlanta Kindred Hospital-Atlanta Kindred Hospital-Atlanta Laurel Heights Hospital Liberty Regional Medical Center Liberty Regional Medical Center Liberty Regional Medical Center Lighthouse Care Center of Augusta Lower Oconee Community Hospital Inc. Macon Behavioral Health System McDuffie Regional Medical Center North Georgia Medical Center Northeast Georgia Medical Center Northside Hospital Forsyth Northwest Georgia Regional Hospital Peachford Behavioral Health System of Atlanta Phoebe Putney Memorial Hospital Phoebe Worth Medical Center Riverwoods Behavioral Health System Stewart Webster Hospital Stewart Webster Hospital Stewart Webster Hospital SummitRidge Center - Psychiatry & Addictive Medicine Sumter Regional Hospital East Sumter Regional Hospital East Sumter Regional Hospital East The Specialty Hospital Union General Hospital Union General Hospital Wayne Memorial Hospital Willingway Hospital

Fulton Fulton Fulton DeKalb Liberty Liberty Liberty Richmond Wheeler Bibb McDuffie Gilmer Hall Forsyth Floyd DeKalb Dougherty Worth Clayton Stewart Stewart Stewart Gwinnett Sumter Sumter Sumter Floyd Union Union Wayne Bulloch

2007 2008 2009 2009 2007 2008 2009 2009 2009 2009 2009 2009 2009 2009 2008 2009 2009 2009 2009 2007 2008 2009 2009 2007 2008 2009 2009 2008 2009 2009 2009

Annual Nursing Home Questionnaire (Survey Years 2007 thru 2009)

Buckhead Health & Rehabilitation

Fulton

2007

Forum Group at Moran Lake Nursing and Rehabiliation Center, LLC Forum Group at Mount Berry Nursing & Rehabilitation Center, LLC Forum Group at Wildwood Park Nursing & Rehabilitation Center, LLC Meadowbrook Health Care

Floyd Floyd Glynn DeKalb

2007 2007 2007 2008

Cardiac Catheterization Services Survey (Survey Years 2006 thru 2008)
All surveys filed for most recent 3 years.

Freestanding Ambulatory Surgery Services Survey (Survey Years 2007 thru

Academy Orthopedics, Llc

FORSYTH

2008

Advanced Aesthetics Surgicenter

FAYETTE

2009

Advanced Surgery Center Of Georgia

Cherokee

2009

Afa Ambulatory Surgery Center

BIBB

2008

Afa Ambulatory Surgery Center

BIBB

2009

Affinity Outpatient Service

Tift

2007

Affinity Outpatient Service

Tift

2008

Affinity Outpatient Service

Tift

2009

Akstein Eye Center, P.c.

CLAYTON

2009

Albany Endoscopy Center

Dougherty

2009

ALPHARETTA HEAD AND NECK SURGERY CENTER FULTON

2009

Ambulatory Foot & Leg Surg Ctr

COBB

2008

18

3/13/2009 9/18/2009 3/12/2010 3/12/2010 3/13/2009 9/18/2009 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010 9/18/2009 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/13/2009 9/18/2009 3/12/2010 3/12/2010 3/13/2009 9/18/2009 3/12/2010 3/12/2010 9/18/2009 3/12/2010 3/12/2010 3/12/2010
8/15/2007 8/15/2007
8/15/2007
8/15/2007
10/31/2008
7/31/2009 3/12/2010 3/12/2010 7/31/2009 3/12/2010 10/3/2008 7/31/2009 3/12/2010 3/12/2010 3/12/2010 3/12/2010 7/31/2009

Ambulatory Laser & Surgery Ctr Ambulatory Laser & Surgery Ctr Ambulatory Plastic Surgery Center, Inc Ambulatory Plastic Surgery Center, Inc Associates Physicians Asc Associates Physicians Asc Athens Plastic Surgery Center Athens Plastic Surgery Center Atlanta Aesthetic Surgery Center Atlanta Center for Reconstructive Foot and Ankle Surgery Atlanta Endoscopy Center, Ltd. Atlanta Eye Surgery Center at Omni West Atlanta Eye Surgery Center at Omni West Atlanta Plastic & Reconst Surg Atlanta Plastic & Reconst Surg Atlanta South Endoscopy Center, Llc Atlanta West Endoscopy Center, Llc Atlanta Women's Medical Center Augusta Endoscopy Center Bowman Pain Management, Pc Bowman Pain Management, Pc Buckhead Facial Plastic Surgery Center for Pain Management (The Emory Clinic) Center For Pl & Recon Surgery Center For Pl & Recon Surgery Center For Plastic Surgery Center For Spine & Pain Medicine Clayton Cataract and Laser Surgery Center Clayton Outpatient Surg Ctr Clayton Outpatient Surg Ctr Coastal Empire Plastic Surgery Coastal Pain Center, Llc Coastal Pain Center, Llc Cobb Endoscopy Center, Llc Cobb Endoscopy Center, Llc Coffee County Center For Digestive Disease Columbus Women's Health Organization, Inc. Columbus Women's Health Organization, Inc. Dalton Plastic Surgery Day Surgery And Recovery Ctr Dennis Surgery Center, Inc. Digestive Healthcare Of Ga Endo Ctr Mountainside Digestive Healthcare Of Ga Endoscopy Ctr Digestive Healthcare Of Ga Endoscopy Ctr Dublin Eye Surgery Center East-West Surgery Center Emory Clinic Ambulatory Surgery Center Endoscopy Center Of Middle Georgia, Llc Endoscopy Center, Llc, The Endoscopy Center, Llc, The Endoscopy Consultants, Llc Ent Surgery Center Of Augusta, Llc Ent Surgical Center Ent Surgical Center

CLAYTON CLAYTON MUSCOGEE MUSCOGEE BIBB BIBB CLARKE CLARKE Fulton Fulton
DEKALB Fulton Fulton FULTON FULTON CLAYTON DOUGLAS Fulton COLUMBIA BIBB BIBB FULTON Fulton CLARKE CLARKE FULTON WHITFIELD Clayton CLAYTON CLAYTON CHATHAM GLYNN TOOMBS COBB COBB COFFEE Muscogee Muscogee WHITFIELD WHITFIELD FULTON PICKENS FULTON FULTON LAURENS Cobb DeKalb BIBB CHATHAM CHATHAM FULTON COLUMBIA CHATHAM CHATHAM
19

2008 2009 2008 2009 2008 2009 2008 2009 2008 2009
2009 2007 2009 2008 2009 2009 2009 2007 2009 2008 2009 2008 2009 2008 2009 2009 2009 2008 2008 2009 2009 2009 2009 2008 2009 2009 2007 2009 2009 2008 2009 2009 2008 2009 2009 2009 2009 2009 2008 2009 2008 2009 2008 2009

7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010
3/12/2010 10/3/2008 3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010 10/3/2008 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010 7/31/2009 7/31/2009 3/12/2010 3/12/2010 3/12/2010 3/12/2010 7/31/2009 3/12/2010 3/12/2010 10/3/2008 3/12/2010 3/12/2010 7/31/2009 3/12/2010 3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010

Eye Associates Surgery Ctr Eye Surgery Center Of Albany, Llc Eyesight's Laser & Surgery Ctr Foot & Ankle Surgery Ctr, Llc, The Foot & Ankle Surgery Ctr, Llc, The Forsyth Street Ambulatory Surgery Center, Llc Forsyth Surgical Center, Inc. Forsyth Surgical Center, Inc. Friendship Surgery Center Ga Urology, Pa Rockdale Ambulatory Surgery Ctr Gainesville Endoscopy Center, Llc Gainesville Eye Center, Llc Gastrointestinal Endoscopy Of Gwinnett Gdc Endoscopy Center, Llc Georgia Dermasurgery Centers, Inc GEORGIA PAIN SPINE CENTER, LLC GEORGIA RETINA SURGERY CENTER, LLC Georgia Surgical Centers- South Georgia Surgical Ctr On Peachtree Georgia Surgical Ctrs Of N Ga Georgia Surgical Ctrs Of N Ga Gwinnett Center for Outpatient Surgery Gwinnett Endoscopy Center Gwinnett Endoscopy Center Interventional Spine and Pain Management Ambulatory Surgical Center Island Surgery Center, Inc ISPM ASC AT COVINGTON, LLC Jimenez Foot, Ankle & Leg Asc Lawrenceville Surgery Center Lowndes County Ambulatory Surg Macon Outpatient Surgery, Llc Macon Pain Center, Pc Metro Atlanta Endoscopy Midtown Endoscopy Center, Llc Midtown Endoscopy Center, Llc Midtown Urology Surgical Center Milton Hall Surgery Center Newnan Foot & Ankle Surgery Center, Llc Newnan Foot & Ankle Surgery Center, Llc Newton Ambulatory Surgical Center North Atlanta Endoscopy Center North Atlanta Head & Neck Surgery Center North Atlanta Orthopaedic Surgery Center, LLC North Fulton Diagnostic Gastrointestinal Center North Fulton Diagnostic Gastrointestinal Center North Georgia Endoscopy Center, Inc North Georgia Endoscopy Center, Inc North Georgia Eye Surgery Center, Llc North Georgia Eye Surgery Center, Llc North Georgia Outpatient Surg Northeast Endoscopy Center, Llc Northern Crescent Endoscopy Northern Crescent Endoscopy Northside Foot & Ankle Outpat Northside/Dunwoody Surgical Center

LOWNDES DOUGHERTY HOUSTON MUSCOGEE MUSCOGEE BIBB FORSYTH FORSYTH HALL ROCKDALE HALL HALL GWINNETT GWINNETT LAURENS COBB FULTON CLAYTON FULTON GORDON GORDON Gwinnett GWINNETT GWINNETT Rockdale
GLYNN NEWTON GWINNETT GWINNETT LOWNDES BIBB BIBB FULTON FULTON FULTON FULTON Fulton COWETA COWETA NEWTON Fulton FULTON Fulton FULTON FULTON CHEROKEE CHEROKEE HALL HALL GORDON GWINNETT FULTON FULTON GWINNETT DeKalb
20

2009 2008 2008 2008 2009 2009 2008 2009 2008 2008 2009 2009 2008 2009 2009 2009 2009 2008 2009 2008 2009 2009 2008 2009 2009
2009 2009 2009 2008 2008 2009 2009 2008 2008 2009 2009 2009 2008 2009 2009 2009 2009 2009 2008 2009 2008 2009 2008 2009 2009 2009 2008 2009 2009 2009

3/12/2010 7/31/2009 7/31/2009 7/31/2009 3/12/2010 3/12/2010 7/31/2009 3/12/2010 7/31/2009 7/31/2009 3/12/2010 3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 7/31/2009 3/12/2010 3/12/2010
3/12/2010 3/12/2010 3/12/2010 7/31/2009 7/31/2009 3/12/2010 3/12/2010 7/31/2009 7/31/2009 3/12/2010 3/12/2010 3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010

Northview Orthopaedic Surgery Center NORTHWEST ENDOSCOPY CENTER Orthopedic Surgery Center, L.P. Paces Plastic Surgery Center Pain Clinic Of Aimr, P.c. Pain Solutions Treatment Centers Peachtree Spine And Pain Physicians Asc, Llc Piedmont Eye Piedmont West Ambulatory Surgery Center (formerly Buckhead Surgery Center) Plantation Ambulatory Surgery, Ltd Plastic Surgery Ctr Land, The Plastic Surgery Ctr Land, The Podiatric Surgi Center Podiatric Surgi Center Premier Surgery Center Pulliam Ambulatory Surg Ctr Pulliam Ambulatory Surg Ctr Renue Surgery Center Rome Endoscopy Ctr Inc, The Rome Endoscopy Ctr Inc, The Rome Foot And Ankle Surgery Center ROME ORTHOPAEDIC CLINIC ASC, INC Rome Surgical Center, P C Rome Surgical Center, P C Roswell Center for Foot and Ankle Surgery Samson Pain Center, Pc Samson Pain Center, Pc Savannah Medical Clinic Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Outpatient Foot and Ankle Surgery Center, LLC Savannah Pain Center, Llc Savannah Pain Center, Llc South Georgia Surgery Center South Georgia Surgery Center ( Brunswick ) Southeastern Pain Ambulatory Surgery Center, Llc Southeastern Pain Ambulatory Surgery Center, Llc Southern Bone & Joint, Llc Southern Crescent Endoscopy Southern Crescent Endoscopy Southern Crescent Plastic Surg Southern Crescent Plastic Surg Spivey Station Surgery Center Summit Endoscopy Center, L L C Surgical Centers of Georgia Thomas Eye Surgery Center Universal Ambulatory Surgery Center, P C Urology Associates Surgery Center, Llc Urology Center Of Georgia Llc Urology Center Of Georgia Llc Urology Surgical Partners, Llc Urology Surgical Partners, Llc Valdosta Foot & Ankle Surgery Valdosta Foot & Ankle Surgery

LUMPKIN COBB Chatham FULTON FULTON BARTOW FULTON FULTON Fulton
GRADY CHATHAM CHATHAM DEKALB DEKALB Glynn NEWTON NEWTON GLYNN FLOYD FLOYD FLOYD FLOYD FLOYD FLOYD Fulton CHEROKEE CHEROKEE Chatham Chatham
Chatham
CHATHAM CHATHAM Ware GLYNN FULTON FULTON COWETA HENRY HENRY HENRY HENRY Clayton FAYETTE Bibb FULTON MUSCOGEE COBB BIBB BIBB FULTON FULTON LOWNDES LOWNDES
21

2008 2009 2009 2009 2009 2009 2009 2008 2009
2009 2008 2009 2008 2009 2009 2008 2009 2009 2008 2009 2008 2009 2008 2009 2009 2008 2009 2009 2007
2009
2008 2009 2008 2008 2008 2009 2009 2008 2009 2008 2009 2009 2009 2009 2009 2008 2009 2008 2009 2008 2009 2008 2009

7/31/2009 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010 7/31/2009 3/12/2010
3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 7/31/2009 3/12/2010 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 7/31/2009 3/12/2010 3/12/2010 10/3/2008
3/12/2010
7/31/2009 3/12/2010 7/31/2009 7/31/2009 7/31/2009 3/12/2010 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010

Wellbrook Endoscopy Center West Georgia Endoscopy Center, Llc West Georgia Endoscopy Center, Llc West Metro Endoscopy Center, Llc West Metro Endoscopy Center, Llc Westside Endoscopy Center, P C Woodhams Laser & Lens Implant Woodstock Endoscopy Ctr, Llc Woodstock Endoscopy Ctr, Llc

ROCKDALE CARROLL CARROLL DOUGLAS DOUGLAS COBB FULTON CHEROKEE CHEROKEE

2009 2008 2009 2008 2009 2009 2009 2008 2009

Home Health Agency Survey (Survey Years 2007 thru 2009)

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Appalachian Home Health Care

Union

Archbold Home Health Services

Thomas

Georgia Home Health Care Agency, Reidsville

Tattnall

Hutcheson Home Health Care

Catoosa

Medside Home Health Agency

Fulton

Phoebe Home Care

Dougherty

Southside Medical Home Health

DeKalb

SunCrest Home Health of Georgia

Spalding

Ultra Care of Georgia

Muscogee

2007 2008 2009 2009 2009 2009 2009 2009 2009 2009 2009

Hospital Financial Survey (Survey Years 2006 thru 2008)

Charlton Memorial Hospital

Charlton

Devereux Georgia Treatment Network

Cobb

Flint River Community Hospital

Macon

Hutcheson Medical Center Jasper Memorial Hospital

Catoosa Jasper

Kindred Hospital-Atlanta

Fulton

Liberty Regional Medical Center

Liberty

Lower Oconee Community Hospital Inc.

Wheeler

Stewart Webster Hospital

Stewart

Stewart Webster Hospital

Stewart

Taylor Telfair Regional Hospital

Telfair

Taylor Telfair Regional Hospital

Telfair

Trinity Hospital of Augusta

Richmond

Wildwood Lifestyle Center & Hospital

Dade

Willingway Hospital

Bulloch

2006 2008 2006 2006 2007 2006 2006 2008 2007 2008 2006 2007 2006 2006 2006

Open Heart Surgery Services Survey (Survey Years 2006 thru 2008)
All surveys filed for most recent 3 years.

Positron Emission Tomography Services Survey (Survey Years 2006 thru 2008)

Battlefield Imaging Center

Catoosa

2007

Radiation Therapy Services Survey (Survey Years 2006 thru 2008)

Central Georgia Radiation Oncology Center - Bibb

Bibb

2008

Central Georgia Radiation Oncology Center - Houston Houston

2007

Central Georgia Radiation Oncology Center - Houston Houston

2008

Hutcheson Medical Center

Catoosa

2008

Northeast Georgia Cancer Care

Clarke

2008

3/12/2010 7/31/2009 3/12/2010 7/31/2009 3/12/2010 3/12/2010 3/12/2010 7/31/2009 3/12/2010
10/10/2008 8/7/2009
3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010 3/12/2010
3/14/2008 9/30/2009 3/14/2008 3/14/2008 3/27/2009 3/14/2008 3/14/2008 9/30/2009 3/27/2009 9/30/2009 3/14/2008 3/27/2009 3/14/2008 3/14/2008 3/14/2008
1/16/2009
8/7/2009 1/16/2009
8/7/2009 8/7/2009 8/7/2009

22

Indigent Charity Shortfalls
Facilities with Indigent and Charity Care Commitment Shortfalls for Most Recent 3 Years
(Commitment status as of 4/20/2010)
Indigent and Charity Care Shortfalls Compliance with indigent and charity care commitments is evaluated on the effective date indicated in each version of the Tracking Report. Adjustments paid to offset shortfalls that are received on or near the effective date may not have had time to be processed by DCH when the Tracking Report is published.

Facility Name
Emory Orthopaedic and Spine Physiatry Outpatient Surgery Center

County
DeKalb

Year Shortfall Due Service

2009

244,046.29 Ambulatory Surgery Center

Endoscopy Center of Columbus, LLC Endoscopy Ctr Of Southeast Ga Gainesville Surgery Center Savannah Outpatient Foot and Ankle Surgery Center, LLC

Muscogee TOOMBS Hall Chatham

2009 2009 2009 2008

22,714.61 55,632.65 115,649.77 63,987.36

Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center Ambulatory Surgery Center

Surgery Center, LLC, The Amedisys d/b/a Tugaloo Home Health Agency Amedisys d/b/a Tugaloo Home Health Agency Amedisys Home Health of Covington Amedisys Home Health of Covington Amedisys Home Health of Macon Amedisys Home Health of Macon Amedisys Home Health of Valdosta Amedisys Home Health of Valdosta ASAP Healthcare Network Camellia Home Health Camellia Home Health Careone Home Health Services, Inc. (Toombs) Careone Home Health Services, Inc. (Toombs) Caresouth Homecare Professionals Caresouth Homecare Professionals Caresouth Homecare Professionals Caresouth Homecare Professionals Caresouth Homecare Professionals Central Georgia Home Health, Macon Central Home Health Health, Douglasville, an Amedisys Company

Muscogee Franklin Franklin Newton Newton Bibb Bibb Lowndes Lowndes Cobb Cobb Cobb Toombs Toombs Elbert Muscogee Elbert Muscogee Hall Bibb Douglas

2009 2008 2009 2008 2009 2008 2009 2008 2009 2009 2008 2009 2008 2009 2008 2008 2009 2009 2009 2009 2008

114,593.31 342,825.43 373,632.70 214,673.39 246,772.54 369,149.60 545,230.14
71,436.47 84,081.95 31,100.53 17,184.35 50,224.82 76,874.74 151,137.99 224,038.55 100,400.27 332,939.80 205,942.65 154,713.07 37,017.26 826,827.27

Ambulatory Surgery Center Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency

Central Home Health Health, Douglasville, an Amedisys Company

Douglas

2009

985,564.19 Home Health Agency

Charlton Visiting Nurses Services Charlton Visiting Nurses Services Chattahoochee Valley Home Health, Chattahoochee Valley Home Health, Chattahoochee Valley Home Health, Community Home Health, an Amedisys Company Community Home Health, an Amedisys Company CSRA Home Health- Columbia, Inc. CSRA Home Health- Columbia, Inc. CSRA Home Health- Columbia, Inc. Englewood Health Systems, Arlington Floyd HomeCare Floyd HomeCare Gentiva Health Services - Atlanta Gentiva Health Services - Atlanta Gentiva Health Services - Atlanta Gentiva Health Services - Savannah Gentiva Health Services - Savannah Gentiva Health Services - Savannah Georgia Home Health Services, Inc., High Shoals

Brantley Brantley Muscogee Muscogee Muscogee Cherokee Cherokee McDuffie McDuffie McDuffie Calhoun Floyd Floyd Fulton Fulton Fulton Chatham Chatham Chatham Oconee

2008 2009 2007 2008 2009 2008 2009 2007 2008 2009 2007 2008 2009 2007 2008 2009 2007 2008 2009 2008

31,386.02 5,947.12
13,329.80 70,270.61 64,108.57 225,476.08 154,324.72 31,195.10 39,221.83 45,455.44
185.36 88,297.85 119,882.22 125,615.85 94,357.96 85,704.41 32,141.02 41,204.20 64,000.47
4,106.22

Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency Home Health Agency

23

Georgia Home Health Services, Valdosta

Lowndes

2007

3,087.28 Home Health Agency

Georgia Home Health Services, Valdosta

Lowndes

2008

3,198.00 Home Health Agency

Guardian Home Care of Central Georgia

Oconee

2007

80,394.12 Home Health Agency

Guardian Home Care of Central Georgia

Oconee

2008

123,061.96 Home Health Agency

Guardian Home Care of Central Georgia

Oconee

2009

132,878.36 Home Health Agency

Guardian Home Care of Northeast Georgia

Hall

2007

68,748.96 Home Health Agency

Guardian Home Care of Northeast Georgia

Hall

2008

109,316.11 Home Health Agency

Guardian Home Care of Northeast Georgia

Hall

2009

170,465.12 Home Health Agency

Guardian Home Care, LLC

Fulton

2007

184,196.33 Home Health Agency

Guardian Home Care, LLC

Fulton

2008

312,705.50 Home Health Agency

Guardian Home Care, LLC

Fulton

2009

371,303.72 Home Health Agency

Healthfield Home Health of Atlanta

DeKalb

2007

36,359.62 Home Health Agency

Healthfield Home Health of Atlanta

Forsyth

2008

64,346.81 Home Health Agency

Healthfield Home Health of Atlanta

Forsyth

2009

82,472.04 Home Health Agency

Healthfield Home Health of Griffin

Spalding

2007

11,170.79 Home Health Agency

Healthfield Home Health of Griffin

Spalding

2008

35,481.79 Home Health Agency

Healthfield Home Health of Griffin

Spalding

2009

103,231.57 Home Health Agency

Healthfield Home Health, Inc.

Fulton

2007

252,058.52 Home Health Agency

Healthfield Home Health, Inc.

Fulton

2008

708,840.78 Home Health Agency

Healthfield Home Health, Inc.

Fulton

2009

675,403.05 Home Health Agency

Healthfield of Southwest Georgia

Decatur

2009

13,950.61 Home Health Agency

Muscogee Home Health Agency

Muscogee

2007

1,760.14 Home Health Agency

Ogeechee Home Health

Bulloch

2007

37,826.03 Home Health Agency

Ogeechee Home Health

Bulloch

2008

107,582.54 Home Health Agency

Ogeechee Home Health

Bulloch

2009

135,073.96 Home Health Agency

Southside Healthcare Home Health

DeKalb

2007

4,552.32 Home Health Agency

Southside Healthcare Home Health

DeKalb

2008

3,909.18 Home Health Agency

Staff Builders Home Health

Fulton

2008

387,507.97 Home Health Agency

Staff Builders Home Health

Fulton

2009

417,004.04 Home Health Agency

Three Rivers Home Health of Bibb

Bibb

2008

75,623.21 Home Health Agency

Three Rivers Home Health of Bibb

Bibb

2009

44,191.80 Home Health Agency

Three Rivers Home Health, Truetlen

Treutlen

2008

81.83 Home Health Agency

Three Rivers Home Health, Truetlen

Treutlen

2009

256.84 Home Health Agency

Tugaloo Home Health Agency an Amedisys

Hall

2008

505,269.70 Home Health Agency

Tugaloo Home Health Agency an Amedisys

Hall

2009

519,291.22 Home Health Agency

Ultra Care of Georgia

Muscogee

2007

27,315.39 Home Health Agency

Ultra Care of Georgia

Muscogee

2008

27,746.82 Home Health Agency

United Home Care of Atlanta

Gwinnett

2008

149,965.04 Home Health Agency

United Home Care of Atlanta

Gwinnett

2009

182,712.09 Home Health Agency

United Home Care of Cumming

Forsyth

2008

59,747.85 Home Health Agency

United Home Care of Cumming

Forsyth

2009

76,728.76 Home Health Agency

United Home Care of North Georgia

Hall

2008

115,987.15 Home Health Agency

United Home Care of North Georgia

Hall

2009

98,479.87 Home Health Agency

VNA of Southwest Georgia, Inc.

Decatur

2008

26,842.90 Home Health Agency

VNA of Southwest Georgia, Inc.

Decatur

2009

5,649.04 Home Health Agency

Focus By the Sea

Glynn

2006

30,995.33 Hospital

Battlefield Imaging Center

Catoosa

2008

47,397.70 PET Services

Batching Notifications Posted 3/25/2010 on DCH Website

Spring Batching Review Cycle Notifications

Ambulatory Surgery Home Health Agencies
Obstetrical Services

Neonatal Intermediate Services Neonatal Intensive Care Services Comprehensive Inpatient Physical Rehabilitation Services Skilled Nursing Facilities/Intermediate Care Facilities
24

NEW CERTIFICATE OF NEED FILING REQUIREMENTS
Notices of Intent
Effective July 1, 2008, O.C.G.A. 31-6-40(b) provides that:
Any person proposing to develop or offer a new institutional health service or health care facility shall, before commencing such activity, submit a letter of intent and an application to the department and obtain a certificate of need in the manner provided in this chapter unless such activity is excluded from the scope of this chapter.
O.C.G.A. 31-6-43(a) further provides that:
At least 30 days prior to submitting an application for a certificate of need for clinical health services, a person shall submit a letter of intent to the department. The department shall provide by rule a process for submitting letters of intent and a mechanism by which applications may be filed to compete with and be reviewed comparatively with proposals described in submitted letters of intent.
All parties interested in applying for a certificate of need for new institutional health services MUST NOW NOTIFY THE DEPARTMENT 30 DAYS PRIOR TO FILING AN APPLICATION of their intent to do so. This notice must be in writing and must contain the following information:
Name and address of legal applicant; Person to whom inquiries may be addressed; Name, address of facility, if different from legal applicant; Proposed Project Site Location; Brief summary description of proposal; Proposed service area; and, Cost of the project.
The Department will not accept any notices of intent submitted by either telephone, facsimile or e-mail pursuant to Rule 111-2-2-.06(5).
Note: The Department will begin implementing the Letter of Intent requirement on July 15, 2008. Beginning with that date, no CON application will be accepted without a previously filed Letter of Intent. The CON application must be submitted no later than 30 days after the Letter of Intent has been received by the Department.
BATCHING REQUIREMENTS
The Department will be promulgating rules for services that will now be batched pursuant to O.C.G.A. 316-43(e) which states:
To allow the opportunity for comparative review of applications, the department may provide by rule for applications for a certificate of need to be submitted on a timetable or batching cycle basis no less often than two times per calendar year for each clinical health service. Applications for services, facilities, or expenditures for which there is no specified batching cycle may be filed at any time.
The requirements for Notices of Intent associated with designated Batching Cycles will be issued at the time of publication of the Batching Notice.
25

SUMMER SPRING WINTER FALL

New Batching Review
The Department will be transitioning many of the reviewable CON services into quarterly Batching Cycles. These services and the Batching Cycles are as follows:

Batched Service
Home Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Ambulatory Surgery
PET, Mega Voltage Radiation Therapy, Pediatric Cath/Open Heart, Adult Open Heart,
Psych/Substance Abuse, Birthing Centers

Batching Notice
September
December

Home Health, Skilled Nursing Facilities, Intermediate Care Facilities, Perinatal Service, Inpatient Rehabilitation, Ambulatory Surgery

March

Letter of Intent
October
January
April

Application Deadline November
February
May

PET, Mega Voltage Radiation Therapy, Pediatric Cath/Open Heart, Adult Open Heart,
Psych/Substance Abuse, Birthing Centers

June

July

August

Letters of Intent for services, facilities, or expenditures for which there is no specified batching cycle, or other applicable rule, may be filed at any time.

26

BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW ACTIVITIES
SPRING CYCLE

Batching Notice
(March 25, 2010)

Application Day
(application complete when
submitted; review cycle begins same
day)
(due by 12 noon May 24, 2010)

75th Day
(applicant provides additional information)
(August 6, 2010)

100th
Day
(last day for letters of support to be submitted to
Department)
(August 31, 2010)

120th Day
(Department Issues
decision)
(September 20, 2010)

Letter of Intent
(due by 5pm April 24, 2010) (Rollover Date: Tuesday, April 27, 2010)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(July 22, 2010)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(August 21, 2010)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(September 10, 2010)

Batching Notice issued 30 days before Letter of Intent Due
Letter of Intent received by Department 30 days before application is submitted
Applications submitted; deemed complete; review cycle begins
60-Day meeting (applicant only); deadline for receipt of opposition letter(s)
75th day applicant provides additional information
90th day Opposition Meeting(s) scheduled; applicant can be in attendance; opposing parties must provide written statement of opposition arguments presented (original and one copy to the Department and one copy to the applicant); presentation time will be limited; Department reserves right to make additional inquiries subsequent to 60-day meeting and following opposition meeting.
100th day Last day for letters of support to be submitted to the Department
110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposition due to Department; applicant deadline for providing written response to Department's inquiries subsequent to opposition meeting
120th day Decision issued (No discretion to extend)

27

BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW ACTIVITIES
Winter CYCLE

Application

Day

(application

complete when

submitted;

Batching Notice

review cycle begins same
day)
(due February 20, 2010

(December 22, 2009) must be received by 12 noon Feb 22, 2010)

75th Day
(applicant provides additional information)
(May 5, 2010)

100th Day
(last day for letters of support to be submitted to Department)
May 30, 2010 (due Tuesday, June 1, 2010)

120th Day
(Department Issues
decision)
(June 19, 2010)

Letter of Intent
(due by 5pm January 21, 2010)

60-Day Meeting
(applicant only);
opposition letter(s) due.
(April 20, 2010)

90th Day
(opposition meeting, applicant
can attend, opposing party must provide
written copy of argument)
(May 20, 2010)

110th Day
(applicant provides amended information; applicant provides response to opposition)
(June 9, 2010)

Batching Notice issued 30 days before Letter of Intent Due
Letter of Intent received by Department 30 days before application is submitted
Applications submitted; deemed complete; review cycle begins
60-Day meeting (applicant only); deadline for receipt of opposition letter(s)
75th day applicant provides additional information
90th day Opposition Meeting(s) scheduled; applicant can be in attendance; opposing parties must provide written statement of opposition arguments presented (original and one copy to the Department and one copy to the applicant); presentation time will be limited; Department reserves right to make additional inquiries subsequent to 60-day meeting and following opposition meeting.
100th day Last day for letters of support to be submitted to the Department
110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposition due to Department; applicant deadline for providing written response to Department's inquiries subsequent to opposition meeting
120th day Decision issued (No discretion to extend)

28

NON-BATCHED APPLICATIONS: SEQUENCE OF CERTIFICATE OF NEED APPLICATION REVIEW
ACTIVITIES

Letter of
Intent

Application deemed complete (review cycle begins)

75th Day
(applicant provides additional information)

100th Day
(last day for letters of support to be submitted to Department)

120th
Day
(Department Issues decision)

Application submitted (10 days to review
for completeness)

60-Day
Meeting
(applicant only); deadline for receipt of opposition letter(s)

90th Day
(opposition meeting(s) scheduled; applicant can attend, opposing parties must provide written copy of argument)

110th Day
(applicant provides amended information; applicant provides response to opposition)

150th Day
(project can be extended)

Letter of Intent received by Department 30 days before application is submitted
Application submitted (10 working days to review for completeness)
Application deemed complete; 120-day review cycle begins
60-day meeting (applicant only); deadline for receipt of opposition letter(s)
75th day applicant provides additional information
90th day Opposition Meeting(s) scheduled; applicant can be in attendance; opposing parties must provide written statement of opposition arguments presented (original and one copy to the Department and one copy to the applicant); presentation time will be limited; Department reserves right to make additional inquiries subsequent to 60-day meeting and following opposition meeting.
100th day Last day for letters of support to be submitted to the Department
110th day Applicant deadline for submitting amended information; applicant deadline for providing written response to opposition; applicant deadline for providing written response to Department's inquiries subsequent to opposition meeting
120th day Decision issued (Department has discretion to extend to 150th day)

29

NEW REPORTING REQUIREMENTS
Beginning July 1, 2008, all facilities operating under a previously granted exemption or letter of nonreviewability as provided at O.C.G.A. 31-6-40(c)(2)(A) will be required to:
Provide notice to the department by August 15, 2008, of the following: Name Ownership Location Single Specialty Services provided in the exempt facility
For purposes of complying with this requirement, notice may be sent through the mail, by facsimile, or email. Information will not be accepted by telephone. Please submit this information to:
Georgia Department of Community Health Division of Health Planning c/o Marsha Hopkins, Executive Director 2 Peachtree Street, NW 5th Floor Atlanta, Georgia 30303 Fax Number: 404-656-0654 E-mail address: mhopkins@dch.ga.gov
These facilities will also be required to provide annual reports beginning on January 1, 2009, in accordance with the Department's annual reporting requirements for existing CON-approved facilities and services. Further reporting instructions will be provided by the Department. Noncompliance with this information request may result in a fine as authorized under O.C.G.A. 31-6-70(e)(1).
These reports will not be due to the Department until the survey instrument has been issued. The survey instrument for ambulatory surgery services is now complete. Further information will be forthcoming by mail. The survey instrument for imaging centers is expected to be released on or before July 1, 2009.
LETTERS OF DETERMINATION The Department will require that a determination request be submitted for any proposed activity that may be exempt under O.C.G.A. 31-6. Such requests will be accepted only on the Department's Determination Request form with the required filing fee of $250. Note: Requests for confirmation of the exemptions for a single specialty ambulatory surgical center or a joint venture ambulatory surgical center and equipment below the threshold are considered requests for a Letter of Nonreviewability and require a $500 filing fee.
30

CERTIFICATE OF NEED APPEAL PANEL
Sworn by Governor Sonny Perdue on August 20, 2008

Ellwood "Ebb" Oakley (Chair) 1266 West Paces Ferry Rd., #157
Atlanta, GA 30327 eoakley@gsu.edu
Melvin M. Goldstein 248 Roswell Street Marietta, GA 30060 goldatty@bellsouth.net

William "Bill" C. Joy (Vice Chair) 5349 Rosser Road
Stone Mountain, GA 30087 wcjoy@bellsouth.net

Legislation - Senate Bill 433
Senate Bill 433 as passed April 4, 2008

Effective September 30, 2009, requests for extensions of either the mandatory implementation date or the mandatory completion date of approved CONs must be submitted via the form now available on the Department of Community Health website Certificate of Need Performance Extension Request Form.
Effective January 2010 all Letters of Intent will be assigned a unique " LOI" Number " (LOI2010###). A Certificate of Need Project number will be assigned upon receipt of the actual CON Application.

31

Certificate of Need Annual Assessment of Therapeutic Cardiac Catheterization Exemption
March 2010 Pursuant to Certificate of Need Rule 111-2-2-.03(24)(b), any hospital approved to perform therapeutic cardiac catheterization procedures as a result of a request for determination submitted between May 1 and May 15 of any calendar after the adoption of this rule, must, between May 1 and May 15, of each subsequent year, submit a request which documents its compliance with the standards of this rule, and the Department must re-affirm the hospital's current compliance in writing in order for the hospital to continue its therapeutic cardiac catheterization program. The Therapeutic Cardiac Catheterization Exemption, Exhibit Five of the Request for Determination form, must be utilized in such request for determination to confirm compliance with the standards of Certificate of Need Rule 1112-2-.03(24)(a).
Certificate of Need Rule 111-2-2-.03(24) can be found at the link below. http://rules.sos.state.ga.us/docs/111/2/2/03.pdf
A Request for Determination form, inclusive of Exhibit Five, can be found at the link below. http://dch.georgia.gov/vgn/images/portal/cit_1210/59/40/138421436CON_Request_for_Determination_4-142009.doc
HOME HEALTH RULE CHANGE: Rule 111-2-2-.32 Specific Rule Considerations for Home Health Services Effective March 8, 2010, the Indigent and Charity Care Commitment requirement in the Home Health Rules was changed from 3% to 1%. This change applies to prospective applicants for new or expanded home health services. Existing Home Health agencies that have a 3% or greater Indigent and Charity Care Commitment may file a Determination Request from May 1, 2010 to May 31, 2010 to request conversion of the commitment to the 1% amount. Such requests must be filed on the Determination Request form, with the proper filing fee enclosed. No Determination Requests for conversion will be accepted after May 31, 2010. Any Home Health agency with an existing Indigent and Charity Care shortfall from any previous year must satisfy such shortfall(s) prior to receiving a response from the Department.
32